Healthcare Provider Details

I. General information

NPI: 1891328332
Provider Name (Legal Business Name): HUNTERDON SPECIALTY CARE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2020
Last Update Date: 02/17/2020
Certification Date: 02/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1738 ROUTE 31 NORTH SUITE 214
CLINTON NJ
08809
US

IV. Provider business mailing address

3 MINNEAKONING RD
FLEMINGTON NJ
08822-5726
US

V. Phone/Fax

Practice location:
  • Phone: 908-735-3912
  • Fax: 908-735-3913
Mailing address:
  • Phone: 908-284-1125
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number
License Number State

VIII. Authorized Official

Name: WANDA BERMONTIZ
Title or Position: BILLING MANAGER
Credential:
Phone: 908-284-1125